Prescription Drug Benefits

Is your prescription covered under your plan? The Formulary Search Tool can give you the answers you need.

Original Medicare doesn’t include drug coverage. Part D standalone plans or Medicare Advantage plans with prescription drug benefits offer comprehensive medication and vaccine coverage, low copays, competitive premiums, a national pharmacy network, and more.

Martin’s Point Generations Advantage uses a prescription drug formulary—a list of covered drugs that have been selected in consultation with a team of health care providers.


Things you might want to consider when reviewing Part D coverage:
  • Your preferred pharmacy is in the plan network
  • Your medications are covered by the plan formulary (covered list) and if they offer generic options
  • The plan offers generic options for cost savings
  • The plan fits your budget when it comes to premiums, deductibles, copays, and out-of-pocket maximums
  • You can save on mail-order medications with 30-day or 90-day supplies 


Drug Formularies

Before you enroll, use our tool to look up your prescriptions and their costs. You can customize your search selections to fit your specific needs and find out which pharmacies are nearby. Martin’s Point Generations Advantage will generally cover the drugs listed in our formulary as long as the drug is medically necessary, the prescription is filled at one of our network pharmacies, and other related plan rules are followed. Generally, we only cover drugs filled at an out-of-network pharmacy in limited, non-routine circumstances when a network pharmacy is not available. 

Next steps:
How Martin's Point can help

We have local benefit specialists available to help you with your questions or give you personalized assistance.

877-547-7072 (TTY: 711)

Common Questions

There are often different ways to get coverage for prescription drugs. You can buy prescription drug coverage alone as a Medicare Part D plan. Or, you can get drug coverage through our Medicare Advantage plans. You can also buy a Medicare Part D plan to complement a Medicare Supplement plan.

Having a good prescription drug plan can help you cover medications if your health needs change in the future. Searching for drugs now will help you compare out-of-pocket costs across available plans. This information will not affect the monthly payment for your plan or which plans are available to you.

You are never far from one of our network pharmacies; but to pay a lower amount, you can choose from one of our many pharmacies that offer preferred cost sharing. We have a partnership with CVS pharmacies.

You can use our Pharmacy Locator to check to see if your pharmacy is in network.

The list of covered prescription drugs may change at any time. All changes are subject to the policy issued by the Centers for Medicare and Medicaid Services (CMS) and can only occur when specific guidelines are met.

Please note that there may be times when certain drugs will not be displayed within the search results. To view a document containing the complete list of covered drugs within the search results or after you have selected your plan, click “View List of Covered Drugs”.